Enrollment Application Form

Enrollments are currently full. Fill out the application below to apply for our waiting list.

About your Child

First name

Last name

Date of Birth

Cultural Identity

Languages Spoken

What are your preferred dates?

Monday

Tuesday

Wednesday

Thursday

Friday

Your Child's Address

Street Address

State

Postcode

About Parent #1

First name

Last name

Phone Number

Working Status

Occupation

Place of Employment

Street Address

State

Postcode

About Parent #2

First name

Last name

Phone Number

Working Status

Occupation

Place of Employment

Street Address

State

Postcode

Additional Information

Does your child currently attend another childcare service?

Does your child have any Special Needs, Disabilities or require any extra care or attention?

Is there any other information you would like us to know about your child or family?

What hours of care do you require?

From what date would you like your child to commence Pre School?

Email Address

* I/We understand that the Pre School will offer my child a position as one arises, however it may not be available from the commencement date I have requested.